2024-05-15T13:58:58-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 251681342 MEADVILLE MEDICAL CENTER FOUNDATION % RENATO SUNTAY MEAD 8143335000 1034 GROVE STREET MEADVILLE PA 16335 RENATO SUNTAY CFO 8143335000 2024-05-15 true RENATO SUNTAY 999009999 Brian D Todd P00422601 4178658701 3 2022 2023-04-26 12:10:37Z DONALD RHOTEN 751 LIBERTY STREET MEADVILLE PA 16335 459485 false X WWW.MMCHS.ORG X 1992 PA TO RAISE DONOR FUNDS TO ASSIST MEADVILLE MEDICAL CENTER AND RELATED ENTITIES IN UPGRADING FACILITIES, OFFERING NEW SERVICES, AND PROVIDING HIGH QUALITY HEALTHCARE. 14 13 0 14 0 0 622951 405149 0 0 10759 35836 -4371 -8702 629339 432283 100159 50000 0 0 249638 270930 0 0 104997 65258 48585 415055 369515 214284 62768 3153147 3175696 12430 10500 3140717 3165196 X TO CONDUCT FUND DEVELOPMENT ACTIVITIES FOR MEADVILLE MEDICAL CENTER AND COMMUNITY HEALTH SERVICES TO HELP MAINTAIN FINANCIAL STABILITY AND OFFSET GOVERNMENT UNDERFUNDING. false false 192333 50000 0 MEADVILLE MEDICAL CENTER FOUNDATION IS THE FUND-RAISING ARM OF MEADVILLE MEDICAL CENTER AND RELATED ENTITIES ESTABLISHED FOR THE PURPOSE OF ACQUIRING DONOR SUPPORT TO ASSIST IN THE CONTINUED ADVANCEMENT OF THE MEDICAL CENTER. SEE SCHEDULE O FOR MORE DETAILS. 192333 true true false false false false false false false true true false false false false false false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true X 1 0 true 0 false false false false false true true false false false false false false X 14 13 true true false false true true true true true false false true true true true true true false false false PA X RENATO SUNTAY 8143335000 751 LIBERTY STREET MEADVILLE PA 16335 X RENATO SUNTAY CFO 0.0 43.0 X 0 448822 89396 HUMBERTO DORTA VICE CHAIR 1.0 40.0 X X 0 481243 40890 DONALD RHOTEN CEO 26.0 15.0 X 153101 82440 52062 WILLIAM CHISHOLM DIRECTOR 1.0 0.0 X 0 0 0 DON APEL DIRECTOR 1.0 0.0 X 0 0 0 DANA DEARMENT DIRECTOR 1.0 1.0 X 0 0 0 GLENN THOMPSON DIRECTOR 1.0 0.0 X 0 0 0 ALAN FLICK DIRECTOR 1.0 0.0 X 0 0 0 ANGELA NIEDERMEYER CHAIR 1.0 0.0 X X 0 0 0 BRIAN GILDEA DIRECTOR 1.0 0.0 X 0 0 0 DREW CERVONE DIRECTOR 1.0 0.0 X 0 0 0 MARK SMITH DIRECTOR 1.0 2.0 X 0 0 0 JEAN MARTIN SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 ROSALIND STASKIEWICZ DIRECTOR 1.0 1.0 X 0 0 0 ASHLEY LANG DIRECTOR 1.0 0.0 X 0 0 0 DJ CRAVEN DIRECTOR 1.0 0.0 X 0 0 0 153101 1012505 182348 1 false true false 0 3516 46094 11726 343813 405149 0 35836 35836 0 0 0 0 0 0 18500 46094 27202 -8702 -8702 0 0 0 0 0 0 0 432283 27134 50000 50000 0 0 0 186941 70103 46735 70103 0 54793 39354 1506 13933 2615 980 654 981 13911 5217 3478 5216 12670 4751 3168 4751 0 0 8532 8532 0 0 0 14244 7798 2885 3561 3750 2052 760 938 6110 3347 1237 1526 0 0 3500 1916 709 875 1270 695 257 318 0 0 0 0 1211 663 245 303 0 LICENSES, DUES, SUBSCRIPTIONS 9968 5457 2019 2492 369515 192333 72185 104997 0 0 1951554 1961168 402148 353456 0 0 0 0 0 0 0 0 0 0 0 0 30832 21152 10890 9680 774970 837807 0 0 0 0 0 0 13585 13585 3153147 3175696 12430 10500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12430 10500 X 1503735 1726308 1636982 1438888 3140717 3165196 3153147 3175696 X 62768 65224 -103513 X false true X true false X 522739 625768 876980 622951 405149 3053587 0 0 522739 625768 876980 622951 405149 3053587 699523 2354064 4624 63237 257544 10315 35836 371556 0 0 3425143 52500 0.68729 0.67145 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 967461 65224 1032685 1063706 -96245 967461 834408 50119 179179 1063706 795051 39357 834408 780393 14658 795051 0.70030 0.12970 0.17000 false false 30832 21152 9680 9680 722803 65224 548691 613915 108888 323395 323395 432283 396717 27202 27202 369515 369515 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS PURPOSE: THE ENDOWMENT FUNDS CONSIST OF TEN SEPARATE FUNDS HELD THROUGH EDWARD JONES, RAYMOND JAMES, AND CHARLES SCHWAB, OF WHICH THE PURPOSE IS TO IMPROVE THE HEALTHCARE FOR RESIDENTS OF THIS COMMUNITY. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 548,691 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 350,597 TEMPORARILY RESTRICTED CONTRIBUTIONS (27,202) SPECIAL EVENTS EXPENSE ---------- $ 323,395 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 27,202 SPECIAL EVENTS EXPENSE JENNIFER MARTIN GRANT WRITING false GOLF OUTING 59175 40675 18500 1800 4125 7420 13181 676 0 59175 40675 18500 1800 4125 7420 13181 676 27202 -8702 true MEADVILLE YMCA 356 CHESTNUT ST MEADVILLE PA 16335 250969495 501(C)(3) 50000 SUPPORT 1 FORM 990, SCHEDULE I, PART I, LINE 2 MONITORING GRANT FUNDS: THE ORGANIZATION DONATES TO RELATED AND UNRELATED CHARITABLE ORGANIZATIONS THAT RELATE TO THE ORGANIZATION'S MISSION. THESE DONATIONS ARE APPROVED THROUGH ADMINISTRATION ON A CASE BY CASE BASIS. false true false false false false false false false DONALD RHOTEN CEO 152968 82368 0 0 133 72 9441 5084 24399 13138 186941 100662 0 0 RENATO SUNTAY CFO 0 444582 0 0 0 4240 0 62283 0 27113 0 538218 0 0 HUMBERTO DORTA VICE CHAIR 0 480794 0 0 0 449 0 19303 0 21587 0 522133 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: MEADVILLE MEDICAL CENTER, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $43,983 RENATO SUNTAY FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE OBJECTIVE OF MEADVILLE MEDICAL CENTER FOUNDATION IS TO CONDUCT FUND DEVELOPMENT ACTIVITIES FOR MEADVILLE MEDICAL CENTER AND COMMUNITY HEALTH SERVICES TO HELP MAINTAIN FINANCIAL STABILITY AND OFFSET GOVERNMENT UNDERFUNDING. THIS WILL BE ACCOMPLISHED THROUGH ANNUAL GIVING PROGRAMS SUPPORTING CURRENT OPERATIONS, DEVELOPING BEQUEST AND PLANNED GIVING PROGRAMS, AND CONDUCTING CAPITAL CAMPAIGNS. FORM 990, PART II, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: MEADVILLE MEDICAL CENTER FOUNDATION IS THE FUND-RAISING ARM OF MEADVILLE MEDICAL CENTER AND RELATED ENTITIES. THROUGH YOUR GIFT, YOU ARE HELPING TO ENSURE THE HIGHEST QUALITY HEALTHCARE WILL BE AVAILABLE TO MEMBERS OF THE CRAWFORD COUNTY REGION COMMUNITY. PATIENTS AND FAMILIES HAVE ALWAYS RECEIVED EXCELLENT CARE AT MEADVILLE MEDICAL CENTER. HOWEVER, BEGINNING IN THE EARLY NINETIES, MEADVILLE MEDICAL CENTER BOARD OF DIRECTORS RECOGNIZED THAT THERE WAS GOING TO BE MASSIVE CHANGES AHEAD FOR THE HEALTHCARE INDUSTRY. THE INCREASING COST OF TECHNOLOGY ALONG WITH DIMINISHING RESOURCES CREATED A NEED FOR NEW WAYS TO OBTAIN SUPPORT FOR THE MEDICAL CENTER AND ITS PATIENTS. AS A PARTIAL SOLUTION, THE BOARD ELECTED TO ESTABLISH MEADVILLE MEDICAL CENTER FOUNDATION FOR THE PURPOSE OF ACQUIRING PRIVATE DONOR SUPPORT THAT WOULD ASSIST IN THE CONTINUED ADVANCEMENT OF THE MEDICAL CENTER. SINCE THAT TIME, THE MEADVILLE COMMUNITY HAS COME TOGETHER IN SUPPORT OF THE FOUNDATION'S ANNUAL FUNDS AND CAPITAL CAMPAIGN. THE RESPONSE TO THE MMC FOUNDATION FROM THE COMMUNITY HAS BEEN EXCELLENT. GENEROUS SUPPORT AND PRUDENT STEWARDSHIP OF RESOURCES, HAS ALLOWED MMC TO CONTINUE TO UPGRADE ITS FACILITIES, OFFER NEW SERVICES AND PROVIDE HIGH QUALITY HEALTHCARE. IT IS ANTICIPATED THAT SUPPORT FROM THE COMMUNITY WILL CONTINUE AND SERVE AS THE CORNERSTONE OF THE FUTURE GROWTH OF THE FOUNDATION. FORM 990, PART V, LINE 1A, 2A & 2B AND PART IX, LINES 5-10 REPORTING AGENT: MEADVILLE MEDICAL CENTER (EIN: 25-1512436), A RELATED ORGANIZATION, FILES ALL INFORMATIONAL RETURNS ON BEHALF OF MEADVILLE MEDICAL CENTER FOUNDATION. THE NUMBER OF 1099S FILED FOR THE FOUNDATION HAS BEEN REPORTED ON LINE 1A. THIS AMOUNT IS INCLUDED IN THE FORM 1096 FILED BY MMC. MEADVILLE MEDICAL CENTER ALSO FILES ALL EMPLOYMENT TAX RETURNS ON BEHALF OF THE FOUNDATION AND IT'S OTHER RELATED ORGANIZATIONS. THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES THAT WORK EXCLUSIVELY FOR THE FOUNDATION. EMPLOYEES OF OTHER RELATED ORGANIZATIONS SPEND PART OF THEIR TIME PERFORMING DUTIES FOR THE FOUNDATION. AS SUCH, THE AMOUNT OF SALARIES, PENSIONS, PAYROLL TAXES, AND EMPLOYEE BENEFITS RELATED TO TIME SPENT FOR THE FOUNDATION HAVE BEEN ALLOCATED AND REPORTED ON PART IX, LINES 5-10. THE NUMBER OF W-2'S FILED ON BEHALF OF THE FOUNDATION ON PART V, LINE 2A HAS BEEN REPORTED AS ZERO. THE NUMBER OF W-2'S RELATED TO THESE SHARED EMPLOYEES HAS BEEN REPORTED ON THE FORM 990S OF THE RELATED ORGANIZATIONS THAT DIRECTLY EMPLOYEE THESE INDIVIDUALS. MEADVILLE MEDICAL CENTER INCLUDES ALL OF THESE EMPLOYEES ON THEIR FORM W-3 FILING. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: RENATO SUNTAY, CFO, IS COMPENSATED BY MEADVILLE MEDICAL CENTER, A RELATED ORGANIZATION. HUMBERTO DORTA, DIRECTOR, IS COMPENSATED AS A PHYSICIAN FOR MEADVILLE PHYSICIAN SERVICES, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: THE ORGANIZATION'S PARENT ORGANIZATION, MEADVILLE MEDICAL CENTER, PROVIDES MANAGEMENT DUTIES FOR THE FOUNDATION, INCLUDING THE FILING OF ALL PAYROLL-RELATED FORMS. THE FOUNDATION HAS A SEPARATE CEO AND A SEPARATE BOARD OF DIRECTORS FROM MEADVILLE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS: THE ORGANIZATION'S PARENT ORGANIZATION, MEADVILLE MEDICAL CENTER, IS THE ORGANIZATION'S SOLE MEMBER. MEADVILLE MEDICAL CENTER HAS THE POWER TO TAKE THE FOLLOWING ACTIONS FROM TIME TO TIME WITH RESPECT TO THE FOUNDATION: (A) NOMINATE AND ELECT ALL DIRECTORS AND OFFICERS OF THE CORPORATION AND REMOVE AT ANY TIME, WITH OR WITHOUT CAUSE, ANY AND/OR ALL SUCH DIRECTORS AND OFFICERS; (B) APPROVE OR DISAPPROVE ANY CHANGE IN THE NUMBER OF DIRECTORS; (C) APPROVE OR DISAPPROVE IN WHOLE OR IN PART THE CORPORATION'S BUDGET AND AMENDMENTS THERETO; (D) APPROVE OR DISAPPROVE PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING THE AUTHORITY TO ESTABLISH A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MMC; (E) APPROVE OR DISAPPROVE ALL LONG RANGE PLANS; (F) APPROVE OR DISAPPROVE ALL AFFILIATIONS, MERGERS AND OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS; (G) APPROVE OR DISAPPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; (H) DIRECT THE CORPORATION TO MAKE CHANGES IN ITS ARTICLES OF INCORPORATION OR BYLAWS AND IN THE ABSENCE OF SUCH ACTION BY THE CORPORATION, TO DIRECTLY AMEND ITS ARTICLES OF INCORPORATION AND/OR BYLAWS ON ITS OWN MOTION; (I) APPROVE OR DISAPPROVE ALL FINANCINGS OR INDEBTEDNESS FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY THE BOARD OF DIRECTORS OF MMC FROM TIME TO TIME; AND (J) EXERCISE SUCH OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF MMC BY VIRTUE OF ANY OTHER PROVISIONS OF THESE BYLAWS OR MMC'S BYLAWS OR BY BOARD RESOLUTIONS ENACTED BY THIS CORPORATION OR MMC FROM TIME TO TIME. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF MEADVILLE MEDICAL CENTER. THE 990 IS INITIALLY INTERNALLY REVIEWED IN-DEPTH BY THE CFO AND CONTROLLER OF MEADVILLE MEDICAL CENTER. AFTER THIS REVIEW, THE FORM 990 IS EMAILED TO EACH BOARD MEMBER, PROVIDING OPPORTUNITIES FOR QUESTIONS, COMMENTS, OR CHANGES BEFORE THE FINAL FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THROUGHOUT THE YEAR, EACH AFFECTED PERSON IS ALSO OBLIGATED TO FILE A SUPPLEMENTARY DISCLOSURE STATEMENT IF THERE IS A CHANGE IN CIRCUMSTANCES WHICH COULD CREATE CONFLICT. DETERMINATION OF ACTUAL CONFLICT WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. IF THERE IS A CONFLICT, THE AFFECTED BOARD MEMBER WILL RECUSE THEMSELVES DURING DISCUSSION AND VOTING ON THE SUBJECT. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEADVILLE MEDICAL CENTER (MMC), WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, MERCER, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF DIRECTORS. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN JUNE 2023. MEADVILLE MEDICAL CENTER (MMC) ALSO HAS A PHYSICIAN COMPENSATION COMMITTEE THAT REVIEWS PHYSICIAN'S COMPENSATION WHEN THE CONTRACT COMES DUE. THE COMMITTEE REVIEWS THE COMPENSATION IN COMPARISON WITH MGMA DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY SUCH REQUESTING PERSON. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. HUMBERTO DORTA IS COMPENSATED FOR HIS ROLE AS A PHYSICIAN AT MEADVILLE PHYSICIANS SERVICES. CEO COMPENSATION: DONALD RHOTEN IS THE CEO OF COMMUNITY HEALTH SERVICES AND MEADVILLE MEDICAL CENTER FOUNDATION. HE ALSO PERFORMS DUTIES FOR MEADVILLE MEDICAL CENTER AS THE VP OF COMMUNITY ENGAGEMENT. HIS COMPENSATION IS SPLIT BETWEEN THESE THREE ENTITIES AND REPORTED ON PART VII, SECTION A, COLUMNS (D) - (F) AS BEING FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (103,513) TRANSFER TO RELATED PARTIES MEADVILLE MEDICAL CENTER 1034 GROVE STREET MEADVILLE PA 16335 251512436 HOSPITAL PA 501(C)(3) 3 NA false MEADVILLE MEDICAL CENTER AUXILIARY 1034 GROVE STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 12A I MMC false HOSPICE OF CRAWFORD COUNTY INC 1034 GROVE STREET MEADVILLE PA 16335 251480565 HOSPICE PA 501(C)(3) 7 MMC false CONNEAUT VALLEY HEALTH CENTER 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC false MEADVILLE PHYSICIANS SERVICES 1034 GROVE STREET MEADVILLE PA 16335 251602133 PHYS. OFFICES PA 501(C)(3) 10 MMC false COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 7 MMC false FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHYS. 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